When assessing the newly pregnant client, the nurse determines that which of the following places her at increased risk for ectopic pregnancy?
1. Human papillomavirus (HPV)
2. Pelvic inflammatory disease
3. Previous miscarriages
4. Pattern of weight gain and loss
2
Rationale: Pelvic inflammatory disease can result in scarring of the fallopian tubes, which then narrows the passage of the fertilized ova and increases the risk of ectopic pregnancy.
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Before performing the doll's eye or oculocephalic reflex, the nurse must verify
a. the absence of cervical injury. b. the depth and rate of respiration. c. a physician's order to perform the maneuver. d. the patient's ability to follow a verbal command.
A patient admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial infarction (STEMI) is restless and anxious. The blood pressure is 86/40 and heart rate is 123
Based on this information, which nursing diagnosis is a priority for the patient? a. Acute pain related to myocardial infarction b. Anxiety related to perceived threat of death c. Stress overload related to acute change in health d. Decreased cardiac output related to cardiogenic shock
In performing a cardiac exam in a person with MVP, you expect to find:
a. an early to mid systolic, crescendo-descrescendo murmur b. a pansystolic murmur c. a low-pitched, diastolic rumble d. a mid to late systolic murmur
The nurse is providing care to a patient admitted with acute diarrhea. What intervention would assist in this patient's care?
A. Provide clear liquids in small amounts. B. Provide a normal diet as tolerated. C. Hold all medications until the diarrhea stops. D. Encourage normal activities of daily living in the hospital room.